Quality

Six Interventions To Radically Improve the U.S. Healthcare System


 

Danielle Scheurer, MD, MSCR, SFHM

我经常和陌生人说话
Final predictions: Weak economic growth will continue into 2010. By spring, the Obama White House will be forced to the political center and U.S. businesses will finally believe in a modest recovery.
The indicators included intellectual capital and innovation, technology readiness, important regional cities, healthcare, safety and security, transportation and urban planning. Others were sustainability and the natural environment, culture and lifestyle, economic clout, cost and ease of doing business.
"They are fairies. Can’t they do something else except falling in love?" another Douban user Amy said.
over $50,000 category, pickups and SUVs distributed through non-premium dealers outsell German luxury brands.
从单个大宗商品来看,预计咖啡价格将大幅下跌,目前为1磅1.62美元左右,投资者对阿拉比卡咖啡前景尤为悲观。

中国保险企业2016年上半年利润出现大幅下滑。
A panel of eight WardsAuto editors evaluated 44 engines among all vehicle types during October and November in the course of their daily commutes and weekend activities in and around the Detroit metro area. Engines were rated according to a wide range of characteristics including horsepower and torque, fuel economy, noise, vibration and harshness characteristics, technology and how they fared against competing powerplants.
While the currency exchange limit has not changed, individuals are now required to disclose specific details on how they will use the funds. Funds can only be used towards current account spending such as tourism and shopping, overseas study, foreign medical care and consulting services. Real estate and other investment spending are explicitly forbidden.
Author Anthony Horowitz has revealed the new book Trigger Mortis has been amended for modern readers and contains anti-smoking messages and for the first time an ‘outspoken’ gay friend.
罗塞略致力于改善公私合作伙伴关系,并使用这笔收入来挽救面临400亿美元的退休制度,预计不到一年就会崩溃。罗塞略也承诺与美国国会去年成立监督波多黎各财政的联邦控制委员会密切合作,他还说支持与债权人就协助重组一笔近700亿美元的公债谈判。
We will boost the development of modern agriculture.
Many investors, it turns out, are siding with Mr Cook. After a tumultuous 2013, the share price has increased by around 50 per cent since that shareholder meeting, at one point taking its market capitalisation above $700bn.
"This film was about survival, adaptation and the triumph of the human spirit and more importantly it was about trust.”
亚太地区是地区国家共有的家园,我们不希望、也不愿意看到冷战思维下所谓“选边站队”的事情发生。

Metric transparency stimulates rapid improvements and fosters goal alignment. Measurement and reporting of cost is absolutely essential in moving the value equation.

A series of articles published between The New England Journal of Medicine and the Harvard Business Review aims to discover and suggest solutions to the issues currently ailing the U.S. healthcare system.1 The first installment focused on how to improve value on a large scale. The authors discuss the major barriers to realizing the value equation, along with some propositions for overcoming these barriers on a large scale.2 Although all six barriers are extremely difficult to surmount, the authors argue that because they are all mutually reinforcing in the current state, all will need to be addressed swiftly, tenaciously, and simultaneously.

stable

1

quality
中国早已超越了俄罗斯成为紧随美国之后的世界第二大强国。
In a televised debate on Monday night, Mr Wilders called on the Netherlands to expel the Turkish ambassador.
[p?'lu:n]
An American actress, author, fashion designer, dancer, producer, and singer Jennifer Lopez hold the second place in the list of 10 most beautiful women of 2015. Lopez's personal relationships have attracted worldwide media attention; she has been married three times. Beside entertainment world, J. Lo enjoyed a highly successful business career, consisting of various clothing lines, accessories, fragrances, a production company, television shows and a charitable foundation among other business interests.
你花在上网上的时间多于你工作的时间
Hartz started Eventbrite, an online ticketing platform, with her now-husband Kevin in 2006. Since its founding, the company has raised $140 million from firms like Sequoia Capital and Tiger Global Management and reached $2 billion in gross ticket sales this September. Entrepreneurship forced Hartz to appreciate candid and collaborative conversations. "I had to learn how to ask for help," she says. "Everyone always thinks it's brave to go out alone, but I think it's even braver to put yourself out there in front of others, and to figure out how to work together."
贝莱德(BlackRock)的iShares亚太区主管陈蕙兰(Susan Chan)表示,ETF更受该地区机构投资者的欢迎。

洛德《情景剧》
德肖维茨称,这个说法太模糊了,学校没有提出任何具体的要求。“当学校严肃处理学生时,却不说明他们的判断标准,我认为这是有问题的。”
魔术队倒是可上可下,并且他们现在正在走下坡路。现在,阿龙-戈登和尼古拉-武切维奇被从板凳席上拉了出来并且马里奥-海佐尼亚被雪藏了。
Two against-the-clock tours of Los Angeles. Two celebrations of the sometimes prickly solidarity among women. Four tremendous performances, from Kitana Kiki Rodriguez, Mya Taylor, Julia Garner and the great Lily Tomlin. “Grandma” is the work of a studio veteran. “Tangerine” was shot on iPhones. Anyone prone to lamenting the death of movies needs to shut up and watch these.
About 200 million migrants, half of whom are women, sent $445 billion to their families in Asia, Latin America and Africa in 2016, the International Fund for Agricultural Development (IFAD) said last Wednesday.
Dua Lipa, 'Dua Lipa'
到了20世纪下半叶,随着歧视逐渐减少(比如在大学入学方面),白人的正式特权地位也在渐渐丧失。但是工资的增长、社会安全网的扩大以及新的受教育机会有助于弥补他们的损失。大多数成年白人都比父母更富裕、更成功,他们相信子女们会过得更好。
例如比利时,它的人口不到小组赛对手俄罗斯的1/10,但被认为是一个巨大的威胁。而乌拉圭尽管人口还不到400万——仅仅是大圣保罗人口的1/6——却是巴西在通往决赛之路上最不想碰到的球队之一。为何如此呢?
据西藏扶贫办公室透露,位于中国西南部的西藏自治区,去年共有15万农村居民脱贫。
[ju:'ni:k]
美国电影学会年度电视剧奖
Social customer service kills the dreaded phone tree
● “奥巴马签署行政令禁止学校读效忠宣言”

2

这是传记类作品首次赢得该奖项,尽管格林斯潘的自传《动荡年代》(The Age of Turbulence)曾在2007年入围终选名单——一年之后爆发的金融危机,引发了对这位中央银行家遗产的强烈质疑。
爱你的老公!
TAXES: Approximately $16,866 in 2014
今年三分之二新上市股票目前的交易价格高于发行价。据旗下管理着专注于IPO的交易所交易基金(ETF)的Renaissance Capital介绍,平均而言,2017年美国新上市股票的股价涨幅大约是标准普尔500指数(S&P 500)的两倍,达到20%。
Industrial production rose 6.1 per cent year on year in October, according to China’s National Bureau of Statistics, unchanged from September’s level and just below a median forecast from economists of 6.2 per cent.
Institutions may also fail.
The programme has enabled me to take a quantum leap in my career and prepared me to take on a strategic C-level [chief-level] role right after graduation, said another alumnus.
以下是根据官方数据(所有收入均按市场汇率折合成了美元)得出的世界主要国家领导人收入排行。
节目19 歌曲《一辈子朋友》,杨坤 张靓颖
10.Be Dedicated and balanced
oDesk和Elance(两家公司正处于并购流程)是两个自由职业者市场,你可以在上面迅速找到、联系并聘请到全球各地的自由职业者。需要一个网站开发员或内容写手?不必雇佣一名全职员工,招募一名自由职业者就可搞定。活跃在这两个市场上的自由职业者多达100余万人。
野村证券(Nomura)的分析师表示:“我们预期这一轮出口增长的反弹不会维持很长时间,未来数月增长势头将恢复温和,原因是人民币的升值可能弱化中国的出口竞争力,且即使习主席和特朗普总统近期在北京会面,发生贸易摩擦的潜在风险并未显著减轻。”

Will the Federal Reserve's path out of bond buying get bumpy?
February 1985 was the last time global surface temperatures fell below the 20th-century average for a given month, meaning that no one younger than 30 has ever lived through a below-average month. The last full year that was colder than the 20th-century average was 1976.
尽管曾在8月份做出让人民币贬值的不了了之的尝试(此举震撼了全球市场,很快就被北京方面放弃),但9月份中国的贸易加权汇率同比上升8.5%,这意味着中国出口产品的竞争力有所减弱。
佐治亚州萨凡纳市(SAVANNAH, GA.)
-
10.谎言和誓言的区别在于,一个是听的人当真了,一个是说的人当真了。
[?'lju?]
Trium’s alumni value studying alongside senior and international classmates. “It allowed us to exchange [ideas] among ourselves and derive as much additional knowledge as [we gained] from the course itself,” says one.
n. 通道,频道,(消息)渠道,海峡,方法

3

《极盗车神》日前入围了美国电影评议评选的十佳电影榜单,烂番茄评分93%,票房收入超过1亿美元。
连平说道:“在2017年的低基准上,今年CPI可能会以一个更快的速度上涨,但在需求稳定、货币环境紧张的背景下,不会出现明显的通胀压力。”
outstanding
这种迹象各个公司是不同的。你一定要记住,如果公司的业绩在下降,销售额在减少,但还没到危险的地步,这种信号可能不适用与你。然而,如果你的公司看起来就要破产啦,那么请赶快开始找一份新工作吧。
10.《美国骗局》
There are 27 companies that are dropped from the list this year, including AT&T, IBM, Siemens and Xerox.
不过现在,她已经开始利用自己童话公主一般的面容做慈善事业了,她会装扮成童话角色的样子,为孩子们演出,为癌症患儿的家长加油鼓劲。
They have no reason to tank thanks to the pick swap with the Celtics, but they might be able to pick up some nice consolation draft prizes from contenders looking to make a move.
“我们从斯雷布雷尼察大屠杀事件了解了荷兰和荷兰人是什么样的,”埃尔多安说起现代荷兰历史上最可耻的一幕,“我们从他们屠杀那里的8000名波斯尼亚人就知道,他们品德败坏到何等地步。”
9.微笑
[k?n'denst]
You'd love to know the balance of forces that shape and move your ponytail, right? That's why Joseph Keller, Raymond Goldstein, Patrick Warren and Robin Ball received this igNOMINIOUS prize!
“有些诡异的是,这跟马克o贝尼奥夫创立Salesforce.com时的情形非常相似,这点地方根本不够从事客户关系管理(CRM)使用,”米奇o哈珀表示。他与联席CEO艾迪o马查拉尼在2009年创立了这家公司。
再来看一下流失顾客的公司吧。
理查德沃特斯(Richard Waters)

4

Perhaps the more interesting question is what drove Yahoo! to shell out that reported $30 million for a single app. To be sure, Summly's text-compression abilities dovetail nicely with Yahoo!'s new focus on mobile utilities. Along with Yahoo!'s $1.1 billion purchase of the blogging service Tumblr and the launch of an acclaimed new weather app, the Summly move marks a commitment to owning the tiny real estate of the smartphone screen-and serving advertising to the youthful eyeballs that tend to gravitate to mobile devices.
Global gold production rose to 3,268.7 tonnes in 2017 from 3,263 tonnes a year earlier, according to the WGC. That was the smallest increase since 2008, when gold mined fell more than 2 per cent during the financial crisis.
4、优衣库事件
它还体现在萝塞拉·亚尔迪尼(Rossella Jardini)为莫斯奇诺(Moschino)设计的2009年春夏系列的蝴蝶结和宽松裙子上以及以玛丽·匡特(Mary Quant)为灵感的2013年春季系列中。
It's almost TOO good. Soulful and aching and grand, Adele's theme to Skyfall is stunningly performed, and gives the distinct impression that someone tried to make the ultimate James Bond theme and had the talent to back it up. History and sensuousness have elevated two songs higher than Adele's contribution, at least in our eyes, but not by much.
We first see the hair of Anna Morales (Jessica Chastain) during the opening credits of “A Most Violent Year.” She’s at her makeup mirror.
3.Sit in the Front Row
In this emotional comedic drama, a selfish car dealer named Charlie Babbitt learns that he has a brother after his estranged father dies. He is upset to learn that said brother, Raymond, received his father's $3 million estate despite living with severe autism that has left him in a mental institution. Charlie learns that Raymond is a savant with outstanding capabilities for mental math and takes advantage of this skill by using Raymond to count cards in Vegas.
Against: It's not yet managing to win top honors from critics' groups.
2014年,尽管汽车销量自2007年以来首次超过1600万辆,但占据媒体头条的还是各类召回事故。在召回舞台上最活跃的是通用汽车公司,由于不断曝出点火开关故障,通用今年已经召回了几百万辆汽车。这家汽车制造商选择勇敢曝光自己的失误,并公开发布了一份自查报告。而日本气囊生产商高田公司却对“气囊门”三缄其口,转而把补救措施留给其深陷困境的客户本田和丰田来实施。有问题的气囊爆炸后,会向驾驶室弹出致命碎片。
前“以色列小姐”盖尔·加朵在2015全球十大美女榜中居第六位。她是服装品牌“卡斯特罗”的首席模特。加朵因饰演《速度与激情》系列电影里的吉泽尔· 姬赛儿一角而闻名于世。

5

影片大量借鉴了亚瑟·布雷默的事迹,此人于1972年枪击了总统候选人和隔离主义者乔治·华莱士。与电影中一样,布雷默枪击华莱士也是在被一个年轻女孩拒绝后不久。尽管如此,他的生活总的来说不如德尼罗的角色那么激动人心,他俩最大的共同点,就是都没有真的杀死目标。
项目长度:13至15个月
除去这些宏大的制作,共有40位闪亮的模特走上T台。
税:2014年约为16866美元(约合人民币10.8万元)
报告提供了对除北京和上海之外的28个国内商业和行政中心城市进行的深入考察。
WOLF HALL (PBS, April 5) In the season’s most promising piece of casting, Damian Lewis (“Homeland”) will play Henry VIII and the two-time Tony Award winner Mark Rylance will play Thomas Cromwell in this “Masterpiece” adaptation of the popular Hilary Mantel historical novels.
8.My resume is 5 pages long for a good reason. – Because I’m darn good at bullshittin’!
汤姆?汉考克(Tom Hancock)上海补充报道
Guangdong has cemented its position as the country's largest provincial economy for the 28th consecutive year, with its gross domestic product (GDP) exceeding 7.9 trillion yuan in 2016.
凯特温丝莱特凭借她在电影《乔布斯》中扮演的乔安娜霍夫曼一角斩获金球奖最佳女配角奖项。当她听到自己获奖时,她目瞪口呆地坐在椅子上不敢相信。
在完成该项目的毕业生当中,42%没有继续从事教学工作。但Teach First表示,即便是那些离开教学领域的人也依然认可该项目的价值。
《警察故事》(Babylon),Sundance,周四播出。詹姆斯·内斯比特(Jame Nesbitt)最近在《失踪》(The Missing)中出演了一个孩子失踪多年、备受折磨的父亲,他在这部剧中饰演的是完全不同的角色:一个斤斤计较的老派警官,雇用一个美国公关专家(布里特·马灵[Brit Marling]饰),来改善苏格兰场的形象。这部讽刺剧集由《贫民窟的百万富翁》(Slumdog Millionaire)的导演丹尼·博伊尔(Danny Boyle)执导,有点像阿尔曼多·伊安努奇(Armando Iannucci)的政治喜剧片《灵通人士》(In the Loop)。
Since the establishment of Avic 1 and Avic 2 in 1999, which really marked the beginning of China’s push into the commercial aerospace market, there has been no doubt about China’s intent and the direction it wants its industry to take. But the pace at which it would achieve this ambition was less uncertain. Almost 20 years on, things have become much more clear, and there is now little doubt that China is well on its way to succeeding where several other countries have failed in becoming a full-fledged player in the large commercial aircraft manufacturing sector, with the potential to disrupt the long-standing duopoly of Airbus and Boeing.
1. The 2012 Ig nobel Psychology Prize

6

This raises the risk of heavy rains and flooding, scientists pointed out, because warmer temperatures would lead to more water vapour in the world’s atmosphere.
在NBA,很少人能防得住罗斯。那么,你可以想象,在罗斯的高中年代,有着和现在一样的NBA身板,要防住他更是天方夜谭。
瑞士洛桑国际管理发展学院(IMD)和西班牙Iese商学院(Iese Business School)稳坐英国《金融时报》两份高管教育榜单榜首。英国《金融时报》2017年高管教育排行榜开放招生课程和定制课程两份排名的头两名,均由这两所学校包揽。
And, this year, Star Wars found its way onto the list as well, with ‘starwars’ claiming the 16th spot.
adj. 故意的,有意的;打算中的 n. 已订婚者 v.
他的投篮许多次都是只打中篮筐的前沿儿。而一些三分投篮甚至投出了三不沾。许多本应是扣篮的球最终他只选择了上篮,当然了,这是相比在若干年前没有任何伤病的他而言的。而最残酷的是,其中一次投篮,科比甚至把球嵌在了篮筐与篮板之间。最终还是对方的球员把球拿了下来。
让爱情多姿多彩:荷兰培育出彩虹玫瑰(图)
Letizia Battaglia
单词statement 联想记忆:

2013 Rank: 14

Conclusion

plat平坦+form形状→形状平的地方→平台,月台
One more scientific group, in Britain, that curates the world’s temperature record is scheduled to report in the coming weeks.
亚瑟小子(Usher),《擅长接吻的人》(Good Kisser),RCA
“We are currently investigating how this could have happened, and deeply regret that this occurred,” PwC said. “We appreciate the grace with which the nominees, the Academy, ABC, and Jimmy Kimmel handled the situation.”
projected
We asked FlightAware to look at arrival delays, rather than departure delays, because it is sometimes possible for airlines to make up time lost on the ground while the plane is in the sky.
这一数字也是自2011年以来的最高增长率。五年前,中国的总票房只有100亿元。
通过ETF购买计划,日本央行间接持有约22家日本大企业10%的股权,并持有整个日本股市的3%左右。一些人批评称,这是对日本股市“事实上的国有化”。


Dr. Scheurer is a hospitalist and chief quality officer at the Medical University of South Carolina in Charleston. She is physician editor of The Hospitalist. Email her at [email protected].

References

  1. ['delikit]
  2. “We sincerely apologize to Moonlight, La La Land, Warren Beatty, Faye Dunaway, and Oscar viewers for the error that was made during the award announcement for Best Picture. The presenters had mistakenly been given the wrong category envelope and when discovered, was immediately corrected.”
    Prince Miteb's release, less than a month since his arrest, shows the speed at which Saudi Arabia wants to settle the corruption probe that involved the sudden arrests of royals and billionaires such as Prince Alwaleed bin Talal.

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